PAUL RICHARD LARSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036962

License Status

NOT RENEWED

Business

First Name

PAUL RICHARD

Last Name

LARSON

Suffix

Business Name

PAUL RICHARD LARSON MD

Original Issue Date

11/30/1960

Effective Date

05/18/2011

Expiration Date

07/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014